HomeMy WebLinkAbout74880D - McDonald--� ❑' CAMA / ❑ DREDGE & FILL No. 74880 B C f D J
GENERAL PERMIT Previous permit #T6;
iX11.1ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 'ej7• (7 • l I
As authorized by the State of North Carolina, Department of Environmental Quality .-
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Q�
Rules a ched.
Applicant Name 1 ► ti� U 1 v\ f \ a Project Location: County-t/t^
Address �� 5 Street Address/ State Road/ Lot #(s)
City �6 iJ<Ck�n State �— ZIP 7 g 4 4�
Phone # 22 —`' j j E-Mail
Authorized Agent
r' iA-
Affected ❑ Cw
A ❑ ES ❑ PTS
AEC(s): ❑ OEA
HHF IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes 4��16' .
PNA yes /1 D
Subdivision
City ZIP ,� l
Phone # ( "-i " River Basin
Adj. Wtr. Body k5CVA N m unkn
Closest Maj. Wtr. Body e 0"
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Printed Name
tignature ** Please read compliance statement on back of permit
Application Fee(s) Check #
'N-iL,-
Name
� - %--Zv L.-7. ZC0
Issuing Date xpiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: %� O
AA -
Phone Number: f `/ -9d.2— /
Email Address; 1L►�►�c''or�sl ��� �jv)h,4s -/(JAI
I certify that I have authorized ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in
County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
REGEJvED
pCM WILMINGTON, NC
VEB p .3 2120
Date
This certification is valid through I
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWN OTIFICATION/WAIVER FORM
Name of Property Owner: /1 p /J s , C Z � ��, f f �21�
Address of Property:
ee s' /-111,e
(Lot or Street #, Street or Road, City & Col
Agent's blame #; Mailing Address:
Agent's phone #:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
the re proposing. A description or drawing with dimensions must be Provided with this letter.
L-_ 1 hav no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext,,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796.7215. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (if you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement. trio /wl
I o not wish to waive the 15' setback requirement.
(Property O er Inf 'on)
Signature /
4)4le3
An t or Type Name
/01 Y- 0r,e%(sz4-,-
Mailing Address
Cit e0p
Telephoonee Num er
___LLD _�D•z�
Date
Adjacent Property Owner Information
Signature
/ Print or Type Name
312
Mailing Address
03
City,'State0p
G&)-39--�"sa7
Telephone Number
X Date -
Revised 611812012
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property:
(Lot or
Agent's Name #:
Agent's phone #:
S�/1�L-
114Ci S %j✓e
, Street or Road, City & County)
Mailing Address:
A/C-
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
the
y are proposing. A description or drawing, with dimensions must be provided with this letter.
vve no objections to this proposal. 1 have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement. -bl G G f i 110_1 plcpc• �y L;we'
(Property
not wish to waive the 15' setback requirement.
/) /c, a41 UtN'ul0
Print or Type Name
Av
Mailing Address
City/State2ip
ail � --
Telephone Num;,rl,
Date
j� (Adjacent Property Owner f rmation)
Sig/nJalluure
Print or Type Name
f)d �,, 1113
Mailing A dress
)t,", //1e- 4/,d
City/state/Zip
�/G -,,;22J1-- /3 �
Telephone Number
Date --
Revised 611812012
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,fir_
Data Reealvad
Data ad
Check From ame
Name o7PW mH Helder
_ Vendor
Cheek Number
Check
amount
Permit Number/Commentr
Receipt or Rarund/R-11—ated
Column?
Cdumn2
Columns
Column(
CdumnS
Columne
Cdumn7
Cwamna
Column9
2/1012020
2/1012020
2/10/2020
Allen G Edwards
CSOG Ventures LLC
Allen Edwards
First Citizens Bank
1008
E 400.00
GP #74883D
GP #74880D
JD rcL 10958
JD rct. 10959
TMc rct 9758
_
Ray and Marina McDonald
BUT
119
$ 200 000
—
F and S Marine Contractors Inc.
MaaaieAardema
PNC Bank
8395
S 200.00
GP #74868D